HomeMy WebLinkAbout2003-P06199 - water softner t � .
CITY OF ORONO PERMIT
2750 Kelley Parkway - PO Box 66 Permit Number: Po6199
Crystal Bay, Minnesota 55323 Permit Type: FiXr�res
(952) 249-4600 Date Issued: 4i1��2o03
SITE ADDRESS: 2943 Farview La
Long Lake,MN 55356
P I D: 04-117-23-34-0008
DESCRIPTION:
Proposed Use: Kesidential
Permit Class: Plumbing
Permit Sub-type(s): Water Softner
Permit Type: Fixtures
DETAILS:
Approved per resolution#:
Separate permits required:
NOTICES/REMARKS:
FEE SUMMARY: Perniit Fee: $ 15.00
Valuation: $ 0.00
State Surcharge Fee: $ 0.50
Misc.Fee: $ 1.50
TOTAL FEE: $ 17.00
APPLICANT: Culligan Soft Water Service Co. QWNER: Joseph&Kay Deckman
6030 Culligan Way 2943 Farview La
Minnetonka, MN 55345 Long Lake MN 55356
THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED
AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND SI'ATE OF
MINNESOTA BUILDING CODE REQUIREMENTS.
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APPL[CANT PERMITEE SIGNATURE -� SSUED BY SIGNATURE
Copies: 1-File(SiQriitures Required), 1-Applicant, 1-Monthlv Reports, 1-Assessine, 1-Finance Page 1
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CYT'Y OF O1ZON0 APPLICATION FOR PLUIVIBI�ii 'Gr PERNIIT
Bo� 6b (2750 KeIley Parkway)
Cr�stal Say, 1VIN 5�323
r�iF1tAT,.INFORMATTO
I. You may apply for pinmbino permits by mail or in person a[�he Ciry offices.
2. Permit cards will be sent by rensrn mail after a review is completed. P�RIv1ITS A.RE NOT VALm U�iTIL
YOU REC�IVE A 1'�R'VIIT. WORK MUST iVOT REGIN LNTIL 7HF_PHRMIT CARD IS POSTED ON
T JaB STTF.
3. Plumbing permits may be issued ONLY to licensed plumbius couuactors and to properry owners residing
in the dwelling.
4, When any new construcdon or remodeling is��nvolved, a separace building permit mus�be obtaiaed,
5. All work must be done in accordance vc�i�h the: State Code requirements.
6. A.11 work musE be inspected and air tested trefore it is covered. Call (9�2) 249-460Q. 24-hour norice
required.
Instrucric►ns Complete all items on this application. Compute rhe permit fee. Sign and date the
certification. INC0I�TPLETE APPLICATTt)NS WILL NOT BE PROCESSED. If you have
questions, call (952) 249-4600.
Please check one: New _ Addition Repair 12eplace
�_Residential ^_ Commercial
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�OB SITE: �%�� !T l�ii'�'1/ L-�%. Zip:���1��
���_i,���/� Telephone Number:�?�� - 7 - �%�
Owner's Name: � ,�!,:�; % ��
Mailing Address: � ,� '��� ��C 1���-� ) City: �S%����/7c: Zip: ��>�� r�
Contract�r'sName•. CUL�GA�L WATER CONDITiONINC�'elephoneNumber:
Ma.iling Address: 6030 �1 City: Zip:
, , .
PL�.��'�`U��:�_�K N; S CA]�;DULE
FIXTUR� BSMT iST 2�1A OTHI:R �T�'YTURE BS�IT 1ST 2ND OTFIER �
TYPE FL FL TYP� FL PL
Water Closet F1oor Drains
Lavato Sewer �iector
Bathtub Laundrv Tra
Shower VVasher '
'Kitchen Sink Water Heacer .
Dis osal Water Softener
Dishwasher wzt gaz
Sillcoclts Misc (Iist)
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PERMTT E CALCT�LATYON S
2p 2 State Statute �'I'es, This Section Applies
The replacement of a �2esidential fixture or appliance that meets all three of the following
requirements:
1) Does not require modifica�ion t.o electrical or ;as service.
2) Has a total cost of$SOO.OQ or less; exctudinQ the cost of the fxture or appliance;
and
3) Is improved, installed or zeplaced by the hameowner or licenced contractor.
Skip next secuon; Cost of Permit $ �5.00
� State Surcharge $ .S�
Mail Yn Fee $ 1.50
If above does noc apply, follow guidelines bela�v:
1. Contract 1'rice* is .4125 % of job with a Minimum Fee of ($35.00)
x .0125 $
(contr;ict price) (minimum$35.00)
2, State �urcharge. *�` Add the State Bvilding Code Division a (;Viinimum �'ee of $ .50)
x .D005 $ .
(convact price) (minimum$ .50)
3, Post e and Handlin: (Qnly mail-in applications) $ 1.50
4. TOTAY. PER�'IIT F�E (Add lines 1-3 above) $
* CONTRACT PRICE or JOB COST means thE� accual or estimated dollar amoun�eharged for the permitted
work includir�,materials, labor,grofit, and odler fixed costs. It is rhe amoun�to be charged to the customer
for the work done. If any material, equipmec�t, labor, or installation are furnished by the owner,tenant or
any other parry th� reasonable market value cf such items must be added to ttre estimated cost or contraec
� price for permi�fee purposes. In the avent rha�tlsere is a dispate on che amount of�he job cost, Lhe Ciry may
request the submission of a signed copy of thc actual eoatract.
** The STATE SURCHARG�is .0005 of the coiitracc price under 51,004,000 ar S.50 -whichever is greacer.
For valuations ovcr 51,000,000 call the Deparanenc of E�spection Services for the price. .
The undersign�d hereby applies to the City f��r issuance of a Plumbing Permit, adrees to do all
work in strict accordance with the ordinana:s of the City and the regulatians of ihe State of
Minnesota, and certifies that all stacements made on this application are complete, true and
correct. j
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Applicant's Signature; ,;_ ��; ��� /"=,, c �: �� �,: � � Date: `�/��'`�